HESI MENTAL HEALTH UPDATED 2025 ACTUAL
EXAM DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
The nurse is preparing medications for a client with disorder and notices that the
antipsychotic medication was discontinued several days ago. Which medication should
also be discontinued?
-Benztropine (Cogentin)
The nurse is teaching a client about the initiation of a prescribed abstinence therapy
using disulfiram (Antabuse). What information should the client acknowledge
understanding
remain alcohol free for 12 hours prior to the first dose
A male client with bipolar disorder tells the nurse that he needs to "make some deals
so that he can improve his retirement savings." Based on this information, which
client outcome should the nurse include in the plan of care
delay business decisions until his mania subsides
.
teenaged girl self induced vomiting
frequency of binging and purging behaviors
Pt is getting oreiented to the unit and replies "there are no TVs in the room" What is
the nurse's best respond?
it is important to be out of your room and talking to others
,A male adult is admitted because of an acetaminophen (Tylenol) overdose. After
transfer to the mental health unit, the client is told he has liver damage. Which
information is most important for the nurse to include in the client's discharge plan?
-do not take any over the counter meds
.
The nurse documents the mental status of a female client who has been hospitalized
for several days by court order, The client states, "I don't need to be here" and tells the
nurse that she believes that the television talks to her. The nurse should document
these assessment findings in which section of the mental status exam?
insight and judgement
A client who has agoraphobia (a fear of crowds) is beginning desensitization with the
therapist, and the nurse is reinforcing the process. Which intervention has the highest
priority for this client's plan of care?
-establish trust by providing a calm, safe environment
.
ECT therapy is not working, pt is non responsive to treatment what question should
the nurse ask?
-
have you taken erectile dysfunction meds
.
adolescent teen interrupts group about pets at home
-redirect him to read from materials
,depressed pt in bed all weekend, nuse finds pt still in bed on her shift, what is the
best action to take?
-get client out of bed and active
postpartum depression Sign & Symptoms (3)
-distrubed sleep, sadness, poor concentration
ECT pre treatment teaching
NPO after midnight
client who refuses antipsychotic medication disrupt group activities nurse decides
client needs constant observation based on?
-wanders into client's room
recurrent negative symptoms of chronic schizophrenia and medication risperdal.
walks laterally contracted position, something has made his body contort
administer the prescribed anticholinergic benztropine (cogentin) for dystonia
depression remains in bed most of the day, declines activities and refuses meals
refusal to address nutritional needs
Victim of intimate partner violence what 3 things should you do? SELECT ALL THAT
APPLY (only 3 correct answers)
1.establish a code with family and friends to signify violence,
2.plan an escape route to use if the abuser blocks main exit,
, 3.have a bag ready that has extra clothes for self and children
patient taking sertraline (zoloft) for postpartum depression, nursing teaching
contact healthcare provider if having suicidal thoughts (black box warning)
client sitting in corner of day room during admission assessment, what nursing action
ask client simple questions
Psychomotor retardation, hypersomnia, and amotivation; what nursing intervention?
teach client to have daily structured activities
Client makes a statement I feel like im going to die, what level of Anxiety is it?
moderate anxiety
TOOL assessment
cut down on your drinking, people annoyed you, felt bad or guilty about your drinking,
drink first thing in the morning hangover (eye opener)
What documentation to include for abuse pts
Photos
Male nurse swings on female nurse for pushing him out of the way of a gurney. What
is the kind of abuse?
EXAM DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
The nurse is preparing medications for a client with disorder and notices that the
antipsychotic medication was discontinued several days ago. Which medication should
also be discontinued?
-Benztropine (Cogentin)
The nurse is teaching a client about the initiation of a prescribed abstinence therapy
using disulfiram (Antabuse). What information should the client acknowledge
understanding
remain alcohol free for 12 hours prior to the first dose
A male client with bipolar disorder tells the nurse that he needs to "make some deals
so that he can improve his retirement savings." Based on this information, which
client outcome should the nurse include in the plan of care
delay business decisions until his mania subsides
.
teenaged girl self induced vomiting
frequency of binging and purging behaviors
Pt is getting oreiented to the unit and replies "there are no TVs in the room" What is
the nurse's best respond?
it is important to be out of your room and talking to others
,A male adult is admitted because of an acetaminophen (Tylenol) overdose. After
transfer to the mental health unit, the client is told he has liver damage. Which
information is most important for the nurse to include in the client's discharge plan?
-do not take any over the counter meds
.
The nurse documents the mental status of a female client who has been hospitalized
for several days by court order, The client states, "I don't need to be here" and tells the
nurse that she believes that the television talks to her. The nurse should document
these assessment findings in which section of the mental status exam?
insight and judgement
A client who has agoraphobia (a fear of crowds) is beginning desensitization with the
therapist, and the nurse is reinforcing the process. Which intervention has the highest
priority for this client's plan of care?
-establish trust by providing a calm, safe environment
.
ECT therapy is not working, pt is non responsive to treatment what question should
the nurse ask?
-
have you taken erectile dysfunction meds
.
adolescent teen interrupts group about pets at home
-redirect him to read from materials
,depressed pt in bed all weekend, nuse finds pt still in bed on her shift, what is the
best action to take?
-get client out of bed and active
postpartum depression Sign & Symptoms (3)
-distrubed sleep, sadness, poor concentration
ECT pre treatment teaching
NPO after midnight
client who refuses antipsychotic medication disrupt group activities nurse decides
client needs constant observation based on?
-wanders into client's room
recurrent negative symptoms of chronic schizophrenia and medication risperdal.
walks laterally contracted position, something has made his body contort
administer the prescribed anticholinergic benztropine (cogentin) for dystonia
depression remains in bed most of the day, declines activities and refuses meals
refusal to address nutritional needs
Victim of intimate partner violence what 3 things should you do? SELECT ALL THAT
APPLY (only 3 correct answers)
1.establish a code with family and friends to signify violence,
2.plan an escape route to use if the abuser blocks main exit,
, 3.have a bag ready that has extra clothes for self and children
patient taking sertraline (zoloft) for postpartum depression, nursing teaching
contact healthcare provider if having suicidal thoughts (black box warning)
client sitting in corner of day room during admission assessment, what nursing action
ask client simple questions
Psychomotor retardation, hypersomnia, and amotivation; what nursing intervention?
teach client to have daily structured activities
Client makes a statement I feel like im going to die, what level of Anxiety is it?
moderate anxiety
TOOL assessment
cut down on your drinking, people annoyed you, felt bad or guilty about your drinking,
drink first thing in the morning hangover (eye opener)
What documentation to include for abuse pts
Photos
Male nurse swings on female nurse for pushing him out of the way of a gurney. What
is the kind of abuse?
